中华疝和腹壁外科杂志（电子版）
中華疝和腹壁外科雜誌（電子版）
중화산화복벽외과잡지（전자판）
CHINESE JOURNAL OF HERNIA AND ABDOMINAL WALL SURGERY(ELECTRONIC VERSION)
2015年
2期
98-100
,共3页
李燕书%孟繁杰%何柳佳%王海刚%张立献
李燕書%孟繁傑%何柳佳%王海剛%張立獻
리연서%맹번걸%하류가%왕해강%장립헌
缝合技术%腹膜%急诊处理%感染
縫閤技術%腹膜%急診處理%感染
봉합기술%복막%급진처리%감염
Suture techniques%Peritoneum%Emergency treatment%Infection
目的：对比研究急诊手术腹部正中切口关腹时腹膜缝合与否的临床效果。方法采用随机对照试验方法，将河北医科大学附属华北石油管理局总医院2007年1月至2009年2月符合纳入标准的160例上消化道穿孔、急性胆囊炎患者，根据不同的关腹方法分为二组，采用缝合腹膜法为观察组，不缝合腹膜法为对照组，每组患者80例，比较二组患者术前基本情况、手术切口相关指标及术后切口恢复指标的差异。结果对照组的关腹时间明显短于观察组，差异有统计学意义（t ＝－22．663，P ＝0．000），而观察组术后的感染机率、住院天数、感染后伤口愈合时间明显小于对照组，差异有统计学意义（χ2＝4．050、t ＝－19．404、－20．172，P ＝0．044、0．000、0．000）。对照组中二例患者因切口裂开进行了再次手术。结论在普外科，急诊手术时腹部正中切口关闭腹膜能减少手术切口的感染率，以及术后感染切口的再手术率、愈合时间、住院天数。
目的：對比研究急診手術腹部正中切口關腹時腹膜縫閤與否的臨床效果。方法採用隨機對照試驗方法，將河北醫科大學附屬華北石油管理跼總醫院2007年1月至2009年2月符閤納入標準的160例上消化道穿孔、急性膽囊炎患者，根據不同的關腹方法分為二組，採用縫閤腹膜法為觀察組，不縫閤腹膜法為對照組，每組患者80例，比較二組患者術前基本情況、手術切口相關指標及術後切口恢複指標的差異。結果對照組的關腹時間明顯短于觀察組，差異有統計學意義（t ＝－22．663，P ＝0．000），而觀察組術後的感染機率、住院天數、感染後傷口愈閤時間明顯小于對照組，差異有統計學意義（χ2＝4．050、t ＝－19．404、－20．172，P ＝0．044、0．000、0．000）。對照組中二例患者因切口裂開進行瞭再次手術。結論在普外科，急診手術時腹部正中切口關閉腹膜能減少手術切口的感染率，以及術後感染切口的再手術率、愈閤時間、住院天數。
목적：대비연구급진수술복부정중절구관복시복막봉합여부적림상효과。방법채용수궤대조시험방법，장하북의과대학부속화북석유관리국총의원2007년1월지2009년2월부합납입표준적160례상소화도천공、급성담낭염환자，근거불동적관복방법분위이조，채용봉합복막법위관찰조，불봉합복막법위대조조，매조환자80례，비교이조환자술전기본정황、수술절구상관지표급술후절구회복지표적차이。결과대조조적관복시간명현단우관찰조，차이유통계학의의（t ＝－22．663，P ＝0．000），이관찰조술후적감염궤솔、주원천수、감염후상구유합시간명현소우대조조，차이유통계학의의（χ2＝4．050、t ＝－19．404、－20．172，P ＝0．044、0．000、0．000）。대조조중이례환자인절구렬개진행료재차수술。결론재보외과，급진수술시복부정중절구관폐복막능감소수술절구적감염솔，이급술후감염절구적재수술솔、유합시간、주원천수。
Objective To discuss the effects of peritoneal closure versus non-closure of peritoneum in emergency operation of general surgery.Methods A prospective randomized trial was conducted on 1 60 patients underwent emergency operation of general surgery with or without peritoneal closure from January 2007 to February 2009 in Northen China Oil Field Hospital.Eighty patients were allocated to the “closed”group,as observation group and 80 patients to the “non-closed”,as control group.The preoperative baseline conditions,incision parameters,and postoperative recovery were compared between the 2 groups. Results The mean operative time was significantly shorter in control group compared with that of the observation group (t =-22.663,P =0.000).The infection rate,length of postoperative stay and wound infertion healing time were lower in closure group as compared to the non-closure group (χ2 =4.050,t =-1 9.404,-20.1 72,P =0.044,0.000,0.000).Re-operations were needed in 2 patients of the control group due to wound dehiscence.Conclusion In the department of general surgery,peritoneum closure in emergency operations can reduce the rate of wound infection and re-operation,and it can shorten the time of wound healing and length of post-operative stay.
